COMMERCIAL INVOICE Page No.

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SHIPPER / DATE COMMERCIAL INVOICE NO.
EXPORTER

CUSTOMER P.O. NUMBER DATE OF EXPORT

COUNTRY OF ORIGIN B/ L / AWB NUMBER

CONSIGNEE FINAL DESTINATION EXPORT ROUTE / CARRIER

TERMS OF SALE TERMS OF PAYMENT

FREIGHT:

PREPAID COLLECT

NOTIFY PARTY / INTERMEDIATE CONSIGNEE MARKS:

QUANTITY DESCRIPTION H.S. NUMBER UNIT PRICE TOTAL PRICE U.S.$'S

SUBTOTAL -
HANDLING -
FREIGHT -
MISC.
-
"WE HEREBY CERTIFY THIS INVOICE TO BE TRUE AND CORRECT."

TOTAL $

THESE COMMODITIES, TECHNOLOGY OR SOFTWARE WERE EXPORTED FROM THE UNITED STATES TO :

IN ACCORDANCE WITH THE EXPORT REGULATIONS. DIVERSION CONTRARY TO U.S. LAW PROHIBITED.